Medical+Volunteers+-+Response+Ready!+Content+Analysis

=Medical Volunteers - Response Ready! Content Analysis= Melissa Dredge

Board Game Design Scenario: //Alternate Care Site//

The smallest unit of information || * A government-authorized Alternate Care Site (ACS) is a location that does not typically provide health care that is opened by the local government to provide medical services during a disaster in which the existing healthcare system is not able to meet the needs. Categories of things with a common name and critical attributes || * Stations/functions: Security, triage, registration, ambulatory care, inpatient care, discharge/exit.
 * **Content Type** || **Content Elements** || **Game Elements** ||
 * ===Facts===
 * A disaster service worker medical volunteer is a licensed healthcare professional that provides approved medical services during a disaster without pay. Officially deployed DSW receive workers compensation and limited immunity from liability. || Questions on cards ||
 * ===Concepts===
 * Roles and responsibilities
 * Incident Command System (ICS)
 * Infectious disease
 * Personal Protective Equipment (PPE) - masks, gowns, gloves, goggles, etc. as indicated
 * Mutual Aid
 * Supply cache - medications and equipment for use in disaster (local, regional, state or federal resources)
 * Worried well (not ill but seeking information/exam based on concern of exposure or impact) || Stations are regions on board.

Critical information to be understood for success in assigned mission. || If-Then relationships between concepts || __Population-based outcomes__: In a surge situation where resources are tapped the standard of care for patients shifts from saving //individual// lives to saving the //maximum number// of lives possible. This may include expanded scopes of practice for healthcare professionals as decided by appropriate officials.
 * ===Principles===

__Healthcare surge__: A healthcare surge is proclaimed in a local health jurisdiction when an authorized local official, such as a local health officer or other appropriate designee, using professional judgment, determines, subsequent to a significant emergency or circumstances, that the healthcare delivery system has been impacted, resulting in an excess in demand over capacity in hospitals, long term care facilities, community care clinics, public health departments, other primary and secondary care providers, resources and/or emergency medical services. [|CA Dept of Public Health] || These two principles dictate the proper response in each segment of the game.

For healthcare professionals, these principles represent a fundamental shift in how they do their jobs. || Step by step actions in a series || * Follow chain of command
 * ===Procedures===
 * Triage patients
 * Infectious disease precautions (isolation, PPE, hygiene)
 * Medical treatment procedures
 * Patient registration
 * Staff and volunteer registration
 * Credential verification of licensed health professionals
 * Staff support (feeding, shelter, scheduling)
 * Communication procedure (use of radio)
 * Requesting supplies
 * Reporting problems
 * Changing shifts || Rules of ICS and implementation of management structure

Player knows who to report to via chain of command outlined on Job Action Sheets.

Triage guidelines (id sick and refer to appropriate stations)

Registration and patient tracking || Natural or routine sequences of events || * Patient flow: The flow of patients through the various stations and units.(Security, triage, registration, ambulatory care, inpatient care, discharge/exit.)
 * ===Processes===
 * Phases of disaster: Pre-event planning, response, and recovery. || Pathways on board.

Response phase is focus of game scenario. || Unpredictable happenings || * Identification of disease, chemical, biological or radiological event could take time.
 * ===Probabilities===
 * Effective treatment and cure may not exist.
 * If Pandemic Influenza, it could take months to develop vaccines once strain is identified.
 * Unknown severity and duration of event (impact on workforce, supplies, and daily life)
 * Impact on special populations requiring services (language, assistance with activities of daily living, transportation, child care, housing, food.)
 * Impact of infrastructure.
 * Local, regional, widespread or global scope of event will dictate what resources are available via mutual aid. || Random injects (via controller) or cards.

Dice to determine spaces.

Spinner to select cards. || The backdrop for all the content || * An ACS has been opened in response to a local disaster or other public health emergency. The roles or points of view from which people look at and interact with this content || * Patients and their families Credit: J. Walsh, Dr. Devereaux, and Dr. Miller who designed the actual exercise model this board game is based upon.
 * ===Context===
 * Hospitals and existing medical/health systems are overloaded and cannot take care of all the patients. It is vital that these resources be protected for the most seriously ill, or injured patients.
 * Elective procedures and services are likely to be cancelled. Less seriously ill patients may be released to home care or to other care centers, such as an ACS. || Board appearance to reflect ACS physical layout. ||
 * ===Vantage Points===
 * Volunteers (medical)
 * Volunteers (non-medical)
 * ***Worker at various stations***
 * Local officials including the Public Health Officer
 * Emergency responders transporting to and from location (police, fire, ambulance)
 * Media || Primarily roles for players. For test version, only triage screener. ||